MEDICAL MANAGEMENT HEALTH AND REHAB CENTER
LOCATED: 1509 CEDAR AVE, MACON, GA 31204
MEDICAL MANAGEMENT HEALTH AND REHAB CENTER was cited by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for the following deficiencies:
PLEASE NOTE: The following highlighted quoted text is only a portion of the full report/survey submitted by DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES. The full report/survey can be found here.
FACILITY FAILED TO HAVE ENOUGH NURSES TO CARE FOR EVERY RESIDENT IN A WAY THAT MAXIMIZES THE RESIDENT’S WELL BEING.
LEVEL OF HARM –IMMEDIATE JEOPARDY
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**
Based on observation, clinical record review, and staff interview, the facility failed to ensure that there was sufficient staff to provide supervision to protect potentially all residents in the facility from aggressive behaviors of resident #7, as evidenced by nine (9) resident-to-resident altercations between 04/12/15 and 01/21/16. In addition, the facility failed to ensure sufficient staffing to prevent falls, and to monitor that interventions for falls prevention were implemented and re-evaluated for continued use for seven (7) residents (residents #2, #7, #13, #26, #27, S, and T), who sustained injuries including fractures, lacerations, hematomas and abrasions. In addition, the facility failed to ensure there was sufficient staff to monitor residents’ skin weekly as per policy, and implement measures to help prevent the development of pressure ulcers for two high- risk residents (S and #25), who developed deep tissue injuries. The facility’s failure to have sufficient staff resulted in Immediate Jeopardy (IJ). It was also determined that the provider’s non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment or death to residents. The sample size was thirty (30) residents.
During interview with the Assistant Director of Nurses (ADON) on 01/29/16 at 9:45 a.m., who scheduled the nursing staffing for the facility, she stated that she was not sure how to answer how they ensured that staffing was sufficient to meet the residents’ needs. She stated that residents were assigned to a group, and then Certified Nursing Assistants (CNA) were assigned to a group to care for them. Upon further interview, she stated that she included herself and the Director of Nurses (DON) in the calculation of direct care nursing hours, but that they were administrative staff and did not do direct care.
Personal Note from NHA – Advocates: NHAA shares with all the families of loved ones who are confined to nursing homes the pain and anguish of putting them in the care of someone else. We expect our loved ones to be treated with dignity and honor in the homes we place them. We cannot emphasize enough to family members of nursing home residents; frequent visits are essential to our loved ones’ well-being and safety. This nursing home and many others across the country are cited for abuse and neglect.
You can make a difference. If you have a loved one living in this nursing home or any other nursing home where you suspect any form of abuse or neglect, contact us immediately.
We can help you and your loved one file a state complaint, hire a specialized nursing home attorney or help you find a more suitable location for your loved one.
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You can make a difference even if your loved one has already passed away.